Greer R O, Sanger R G
J Oral Surg. 1977 Jun;35(6):507-9.
A case of sarcoidosis manifesting primarily in the oral cavity has been documented and clinicopathological findings are discussed. The diagnosis of sarcoidosis can nearly always be established by an assessment of the clinical picture in combination with the histologic features of an adequate biopsy specimen. The Kveim test is a useful tool in clinical diagnosis, but is not always positive in patients with sarcoidosis. The clinician should also be aware that false positives can occur. Scalene node biopsy can also be a useful diagnostic adjunct. The current case emphasizes that biopsy of an intraoral lesion, scalene node biopsy, and Kveim testing are useful in establishing a diagnosis of sarcoidosis.
已记录了一例主要表现为口腔病变的结节病病例，并对临床病理结果进行了讨论。结节病的诊断几乎总是可以通过结合充分活检标本的组织学特征评估临床症状来确立。克维姆试验是临床诊断中的一种有用工具，但在结节病患者中并非总是呈阳性。临床医生还应意识到可能会出现假阳性。斜角肌淋巴结活检也可以作为一种有用的诊断辅助手段。本例强调口腔内病变活检、斜角肌淋巴结活检和克维姆试验在结节病诊断中很有用。
